| The Family Care Clinic Of Sparta | |
|
287 Turntable Rd. Sparta TN 38583 | |
| (931) 738-2000 | |
| (888) 337-7080 |
| Full Name | The Family Care Clinic Of Sparta |
|---|---|
| Speciality | Family Medicine |
| Location | 287 Turntable Rd., Sparta, Tennessee |
| Authorized Official Name and Position | Jerry W Pernell (CEO) |
| Authorized Official Contact | 9317077117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Care Clinic Of Sparta 287 Turntable Rd. Sparta TN 38583 Ph: (931) 738-2000 | The Family Care Clinic Of Sparta 287 Turntable Rd. Sparta TN 38583 Ph: (931) 738-2000 |
| NPI Number | 1972852341 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 01/23/2014 |
| Medicare PECOS PAC ID | 4789835430 |
|---|---|
| Medicare Enrollment ID | O20121106000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972852341 | NPI | - | NPPES |
| 0448921 | Medicaid | TN | |
| 1548460447 | Other | TN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7811 (Tennessee) | Primary |
| 261QR1300X | Clinic/center - Rural Health | 7811 (Tennessee) | Secondary |
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